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We have made a comparison between ESG and LSG for weight loss. We have observed the patient who has undergone ESG and LSG at an interval of 1month and 6month.

Definition
Endoscopic Sleeve Gastroplasty (ESG) – It is a new form of weight-loss procedure in which the weight is reduced by reducing the size of the stomach. It is a type of non-surgical treatment.
Laparoscopic Sleeve Gastrectomy (LSG) – In this process, the size of the stomach is reduced by removing a part of the stomach. It is a type of surgical procedure.

Background and Aim
Endoscopic Sleeve Gastroplasty (ESG) reduces the gastric lumen to a size comparable with that of laparoscopic sleeve gastrectomy (LSG).
Our study compared the 6-month weight loss outcomes and adverse events of ESG with LSG in a case-matched group.

Methodology

We retrospectively reviewed patients undergoing ESG and LSG at the same hospital.
We have prospectively collected data after the treatment.
Weight was recorded at an interval of 1 and 6 months after the treatment.
We have also recorded adverse or hostile events like new-onset gastroesophageal reflux disease (GERD)

Results
A total of 54 ESG patients were matched with 83 LSG patients by age, sex, and mass index.
During the first month after the ESG and LSG treatment. The percentage of patients with GERD at baseline was similar in the two groups.
(16.7% in ESG group vs 25.3% in LSG group, P= 0.27)
After the six months follow up %TBWL compared with baseline was significantly lower in the ESG group compared with the LSG group. (17.1% vs 23.6%, P<0.01).
Hence, ESG patients had significantly lower rates of adverse events as compared with LSG patients (5.2% vs. 16.9%, P<0.05).

New-onset gastroesophageal reflux disease (GERD) was also significantly lower in the ESG group compared with the LSG group (1.9% vs. 14.5%, P<0.05).

Conclusions
After the complete study, it is observed that ESG is a minimally invasive on the same-day of treatment achieved less weight loss at six months than LSG, with the warning that LSG caused more adverse events and new-onset GERD than ESG.

Good Digestion starts when you chew your food completely and enjoy every herb and spice. If you consume more food as per the requirement of body you will suffer from digestion problems. In this blog, we are going to discuss the symptoms of unhealthy digestion and steps to overcome them.

Symptoms of Unhealthy Digestion

1. Abdominal Pain
2. Acid  Reflux
3. Constipation
4. Diarrhea
5. Gas

1. Abdominal Pain: Abdominal Pain is a kind of pain that is felt in the abdomen. Abdominal pain is a result of any of the defective organs contained in the abdominal cavity that comprises of the stomach, small intestine, colon, liver, gallbladder, spleen, and pancreas. 

2. Gastroesophageal reflux disease:  It is a serious form of acid reflux from the body. Absolute symptoms of GERD in Adults are a regular burning sensation in the chest or throat. If GERD sensation occurs twice a week then it can result in serious health issues.

3. Constipation: It is a condition when a bowel movement is less than three times a week. In such case, the stool is hard, dry and small in size with difficulty to eradicate. 

4. Diarrhea: It is a condition of Loose, watery stools. In Diarrhea, you go for stools for three-four times or more. It can be dangerous if not treated. If this condition persists for more than two days it may be a chronic disease.

5. Gastritis: In this condition, the stomach lining gets inflamed. When the inflammation is sudden and severe then it can be called chronic Gastritis. Sometimes it causes pain in the above part of the abdomen.

Things you can do to avoid the Unhealthy digestion 

You should Include these constituents in your diet Olive oil, Raw garlic, Lemon, Apple cider vinegar, Green tea, herbs to get relief from such difficulties. After taking these constituents you are still feeling trouble indigestion then you can contact Dr Abdulhadi Qadri as he is the best Gastroenterologist and was selected in a row as the top Gastroenterologist by Jacksonville Magazine. To book an appointment or regarding any information you can visit http://gastroexpertuae.com/

What is colon cancer?

The colon cancer starts in the large intestine known as the colon. 

When the colon cancer and rectal cancer combined, it is known as colorectal cancer and it starts in rectum.

Colon or rectal cancer mainly begins in the length of the colon, rectum, and anus.

Colon cancer usually affects older adults, but it can occur at any age.

Various treatments are available to control colon cancer like radiation treatment and drug treatments like chemotherapy, targeted therapy, immunotherapy, surgery.

Colon cancer is curable if it is detected at an early stage. 

Colon cancer causes and symptoms are given below.

Causes 

When the cells in the colon or rectum develop changes which cause unable to control growth and division and thus develops cancer. 

When these cells break loose the immune system and grow out of control, forming a tumor within the colon.

Certain risk factors that cause colorectal cancer are tobacco smoking, including diet and heavy alcohol use.

Individuals with a family history of colorectal cancer have a high risk of developing cancer. Known risk factors for colorectal cancer include:

• Inherited syndromes: Two common inherited syndromes are familial adenomatous polyposis (FAP) and hereditary non-polyposis colorectal cancer (HNPCC) which causes colorectal cancer and some other types of the syndrome are Peutz-Jeghers Syndrome, Turcot Syndrome, and Lynch Syndrome.

• Diet: Those who consume more red meat like beef, hot dog, lamb, have a higher chance of developing colon cancer.

• Family history: If your blood relatives like Father, Mother, Sister, and Brother are diagnosed with colon cancer, then your doctor may suggest a colonoscopy to test for colorectal cancer. 

• Smoking: Smoking also increases the chance of developing cancer, elements associated with smoking can be swallowed, increase the risk of colon cancer.

• Lazy lifestyle: Peoples who live a sedentary lifestyle have a higher risk of developing cancer.

• Consumption of Alcohol: Too much alcohol consumption may lead to an increased risk of colorectal cancer.

• Age: The chances of developing colon cancer increases after the age of 45. According to a study by the National Cancer Institute 95% of the patient develops colon cancer after the age of 45.

• Chronic bowel diseases: Diseases like ulcerative colitis, Crohn’s disease, can increase the chances of developing colorectal cancer. The longer you experienced these diseases higher the chances are of developing colon cancer.

• Diabetes: Mainly Type II diabetes, have a higher risk of developing rectal cancer.

Symptoms of colon cancer 

• Bleeding in rectal (Rectal Bleeding)

Rectal bleeding can also cause by hemorrhoids, patients with hemorrhoids experience signs that come and go, but the rectal bleeding in the case of cancer grows and gets worse with time. 

• Bowel and Abdominal pain

Pain in the stomach or pain in the bowel and abdominal region can be signs of colorectal cancer. These signs are common that can also be caused by gastrointestinal pain, ulcerative colitis, and Crohn’s disease. It is advisable that you should consult your doctor when you feel frequent abdominal pain.

• Changes in Bowel ways 

It includes symptoms like- feeling a bowel that doesn’t appear to empty completely, changes in the size of bowel movements, constant diarrhea or constipation, very narrow stool. These symptoms can be caused by diet change, viral infection, eating unpleasant foods, but if these symptoms occur for a long time then you must consult a professional doctor.

• Pain in Pelvic region

Pain in the pelvic region indicates that cancer has spread to the pelvic areas.

• Blood in stool 

Blood in stool, typically a darker colored bowel movement, which indicates that there is bleeding in the intestinal region. 

• Weight loss

Unexpected weight loss, feeling weak, losing your appetite can be signs of colon or rectal cancer.

“Avoid focusing on how much you eat, focus on what you eat”.

What is Acid Reflux?

Acid reflux occurs when stomach acid travels up the food pipe to the mouth.
The main reason for acid reflux is when the muscle at the bottom of the food pipe, which acts as a gateway to the stomach, becomes weak or wobbly.
“People who experience acid reflux at least once a week has gone up by approximately 50% in the past 10 years according to a study by Norwegian.”
If the symptoms of Acid Reflux persists regularly, it can indicate that a person is suffering from Gastroesophageal Reflux Disease (GERD). Below we have discussed what foods are good for Acid Reflux and Heartburn.

What is Heartburn?

It is actually a symptom of Acid Reflux and occurs when the acid reflux back into the esophagus.
It is the burning sensation in the chest or abdomen, and it has nothing to do with the heart. It is a part of Acid Reflux.
People often feel heartburn after eating. It is mainly because of food.
“According to a study, heartburn is a common digestive illness in the United States, affecting more than 60 million Americans every month.”
Are you suffering from Acid Reflux or Heartburn? Don’t panic because you can avoid this problem by changing your food habits.

What foods are good for Acid Reflux and Heartburn?

Non-Citrus fruits
Melons
Apples
Bananas
Pears
These fruits are less likely to cause acid reflux and heartburn.

Egg Whites
It is a good option. Avoid eating egg yolks because they may trigger reflux symptoms.

Healthy Fats
Walnuts
Olive oil
Sunflower oil
Avocadoes
Sesame oil
Avoid taking saturated fats and trans fats.

Vegetables
Broccoli
Cauliflower
Potatoes
Cucumbers
Green beans
Vegetables help in reducing stomach acid and are low in fat and sugar.

Seafood and Lean Meats
Chicken
Fish
Eat them as baked, grilled or broiled.

Ginger
It’s a natural treatment for heartburn and acid reflux problems. You should try ginger tea, smoothies, add sliced ginger root to recipes.

Foods that cause acid reflux and heartburn are

Citrus fruit and Tomatoes
Lemons
Limes
Oranges
Tomatoes
Grapes

Garlic and onions
Foods that contain onions and garlic causes heartburn
Eating a lot of onions or garlic can cause heartburn.

Chewing gums
Mints products like breath mints, chewing gum causes heartburn and acid reflux.

Spicy foods
French fries
Onion rings
Oily and greasy foods
Cream sauces
Creamy salad dressing
Fried cuts of beef

So, avoid eating foods that cause acid reflux and heartburn.

By practicing healthy eating habits and notice how your symptoms respond to particular foods and drinks, you can reduce your reflux symptoms and improve your quality of life.

Remember-
“HEARTBREAK IS STILL OK BUT HEARTBURN IS NOT ACCEPTABLE.”

Millions of people all over the world get affected by digestive disorder every year. To cope with various digestive disorders, find in-depth information and discover how your system works.

How serious are your symptoms-
Heartburn/GERD, IBD, and IBS are some of the common digestive disorders which can be uncomfortable but not a matter of huge concern. Some of the symptoms of digestive disorders can be bloating, stomach ache, gas, stomach cramps, etc. The medication would be the perfect treatment of digestive problems. Change in lifestyle and eating patterns also helps a lot in digestive disorders.
If you have these 10 digestive disorders, consult your gastroenterologist in Abu Dhabi.

1. Gastroesophageal Reflux Disease (GERD):-
   Gastroesophageal Reflux Disease, GERD is a digestive disorder which affects the lower esophageal sphincter, LES. A ring of muscles—the lower esophageal sphincter (LES), connects the stomach and esophagus. If you suffer from the problem of heartburn or acid reflux for more than a week, you may have Gastroesophageal Reflux Disease or GERD. The most initial symptom you would feel be painful and regular heartburn in the middle of your chest. When your lower esophageal sphincter, LES becomes weak or relaxes when it shouldn’t, GERD happens. To reduce GERD disorder, change your food and drinks which is making your symptoms worse. You can treat GERD with lifestyle changes, such as when you eat and eating smaller meals. Making lifestyle changes can reduce your GERD symptoms.
2. Peptic Ulcer Disease (PUD) and Gastritis-
   PUD is a break in the lining of the stomach or upper part of the small intestine while Gastritis is inflammation of the stomach lining. Peptic Ulcers are formed in the stomach and upper part of the small intestine. Gastric ulcer is an ulcer in the stomach. These two health problems have alike symptoms, including stomach pain and nausea, and similar causes. Helicobacter pylori infection and use of nonsteroidal anti-inflammatory drugs are the most common causes of peptic ulcer disease (PUD). treatment of these diseases has revolutionized by direct visualization and the ability to biopsy with endoscopy. Antibiotics are also fruitful for H. pylori infection.
3. Stomach Flu-
   Stomach Flu is an intestinal infection also known as, gastroenteritis. Some of the nasty symptoms of stomach flu are vomiting, diarrhea, stomach pain, cramps and sometimes fever. Viral gastroenteritis can only be dangerous if leads to dehydration. Symptoms of dehydration, digestive disorder includes lack of energy, extreme thirst, and dry mouth, urinating less than usual, sunken eyes, etc…If you get in touch with an infected person or if you don’t wash your hands thoroughly after using the bathroom you will easily get infected. Rotavirus and norovirus, which affect millions of people every year, are often the cause behind the viral gastroenteritis. Although they are not harmful but seek the right treatment will help.
4. Gluten Sensitivity and Celiac Disease
   Gluten-sensitive enteropathy is an immune reaction to eating gluten, a protein found in wheat and barley. Celiac Disease has often sometimes known as celiac sprue. Symptoms of gluten sensitivity and celiac disease are quite similar. Diarrhea, fatigue, weight loss, bloating and anaemia are the symptoms which cause intestinal damage and can lead to serious health complications. Eating gluten if you have celiac disease can trigger your immune system. Itchiness, rashes around elbows can happen from gluten intolerance. To control the symptoms, doctors suggest a gluten-free diet or medication. Be sure to consult your doctor to control the risk.
5. Inflammatory Bowel Disease (IBD)
   Inflammatory Bowel Disease, IBD is the disorders that involve chronic inflammation of your digestive tract. Ulcerative colitis and Crohn’s disease are the two primary kinds of IBD. It is also characterized by inflammation of the intestines. They are autoimmune diseases, which means there is an abnormal immune system reaction. Inflammation is caused if the immune system attacks harmless virus, bacteria, or food in the gut. Irritation and swelling, resulting in diarrhea, abdominal pain, loss of appetite, fever, and weight loss are some of the causes of IBD. Self-care and medical treatment combination involve treatment. The best way to stay healthy is by managing your health by changing your lifestyle and never let your diseases control you.
6. Irritable Bowel Syndrome (IBS)
   It is a digestive disorder that affects the large intestine. The major symptoms of this disorder are Cramping, abdominal pain, bloating, gas, and diarrhea or constipation. 70% of people with IBS also suffers from indigestion. It is not completely possible to prevent IBS symptom but what you eat and how you eat certainly affects the symptoms. Low-fat foods, fibre supplements, Aloe Vera juice, helps in minimizing the above-mentioned symptoms. Taking the fibre intake in your food can reduce gas from the stomach. You need to avoid Dairy products, Alcohol, Foods high in sugars if you are suffering from IBS. For any further query, likely be referred to consult a doctor.
7. Constipation
   Constipation is the difficult passage of stool, means your bowel movements happen less often than normal. Almost 63 million people in the USA are affected by chronic constipation. Eating a lot of dairy products, Not enough fibre in your diet, less consumption of water, stress are some of the causes of constipation. To ease constipation take fruits and vegetables, eat cereal, exercise, try warm liquids…You can try laxatives too. Use laxatives only as a temporary solution. Each of them works in a different way. Consult your doctor how long it would take to recover.
8. Haemorrhoids
   Swollen veins in your anus and rectum are Hemorrhoids also known as piles. Haemorrhoids are quite painful. Pain, itching, and bright red blood after a bowel movement are the symptoms of Hemorrhoids. For the treatment of haemorrhoids Anti-inflammatory creams and pastes herbal substances like aloe vera, are often recommended. Take a warm bath to relieve pain and itchiness. It may feel a little embarrassing to talk about haemorrhoids but don’t let that stop you. Trying to prevent constipation and changing toilet habits can make a huge difference. Seek help if Hemorrhoids persist.
   The condition of having multiple pouches in the wall of your colon is
9. Diverticular Disease
   The condition of having multiple pouches in the wall of your colon is Diverticulosis. Disease increases with age, roughly half of people ages 60 to 80 have this condition. If you have symptoms then it must be a pain in your lower abdomen, bloating constipation or diarrhea. You must visit a doctor if you have any of these signs. In diverticular bleeding, you will have a large amount of red or maroon-colored blood. To treat diverticulitis you may need antibiotics, a liquid diet, or even surgery if the condition is recurring. Avoid western eating, nuts, popcorn, and seeds which cause symptoms to flare up. Genetics can be a factor. Self-treat can be done if it is not severe. The well-balanced diet has a lower risk of developing diverticulitis.
10. Gallstones
    The small deposits of bile inside the gallbladder are gallstones. The gallbladder is an organ attached to your intestine stores digestive juice— bile. It affects 15%of Americans every year but not all of them are a problem. The factors that increase the risk of developing a gallstone are:
     Diabetes
     Over Drinking
     Smoking
     Over-weight
     Eating low fibre-diet or high fat
    Some gallstones go on their own. Some cause a lot of pain and infection. Nausea or vomiting, fever, Jaundice, Indigestion are the symptoms. Surgery is the usual treatment for gallstones if it attacks.

The across the board distribution of cell phones, with their incorporated sensors and correspondence capacities, makes them a perfect stage for point-of-care (POC) diagnosis, particularly in resource-limited settings. Molecular diagnostics, notwithstanding, have been troublesome to actualize & implemented in cell phones. We in this report have adopted a diffraction-based approach that empowers molecular and cell diagnostics. The D3 (advanced diffraction determination) framework utilizes microbeads to produce novel diffraction designs which can be adopted by cell phones and processed by a remote server. We used the D3 platform to screen for precancerous or carcinogenic cells in cervical samples and to identify human papillomavirus (HPV) DNA. The D3 test created readouts inside 45 min and indicated brilliant concurrence with highest quality level pathology or HPV testing, individually. This methodology could have ideal worldwide wellbeing applications where restorative access is restricted or when pathology bottlenecks challenge brief diagnostic readouts.

 

The rapid usage of electronic specialized gadgets, for example, cell phones, tablets, and wearable gadgets, all with incorporated sensors, make new potential outcomes for economical point-of-care (POC) diagnostics and care delivery. One precedent is to identify cancer in low-and-middle-income nations where limited resources and geographical limitations may lead to missed opportunities for intervention, bringing about mortalities even with treatable malignant diseases like cancers. Current endeavors to control malignant diseases in this manner emphasizes on executing populace based early screening projects; a key component for progress is cost savvy, vigorous demonstrative programs that can be promptly conveyed into POC settings. While regular microscopy of human samples (smears, aspirates, biopsies, blood) is the most generally used to analyze malignant diseases like cancer, its POC adjustment is constrained by innate drawbacks, for example, cumbersome optics, prerequisites for trained microscopists, and operator-dependent variability.